Tuesday, May 22, 2012

Brain surgery and cranial cervervical stabilization

Thumbs up just out of recovery
Not feeling so hot but my sisters are so uplifting.
The amazing and humbled Dr Henderson, neurosurgeon

Not feeling so hot after a very scary episode where they had thought I had a stroke.
Trying so desperately to keep my friends updated on Facebook but I just can't keep my eyes open.  LOL
Rib harvest site.  Two weeks post-op.
Posterior Fossa Decompression  and craniocervical site.  Two weeks post-op.


Long time, no blog.... My friend has asked why I have not blogged in a while. Well here goes. I have been very ill. Beginning last June, I started going down hill and fast. We picked Kyler (my son) up from the airport, went to Cabella's, had lunch and drove back to Prescott. That evening, I was walking from the kitchen to the living room. My legs literally would not work. My brain was telling them to move and they would not move. I way temporarily paralysed. I had to call out for Justin to come to get me. He had to practically carry me into the bed. It lasted approximately 20-30 minutes. This happened several more times. I had gone to see Dr B in NY (The Chiari Inst). He had told me that if I had burning pain down my arm, to contact him immediately. He did not say anything about this. I did let my neurologist know. My speech declined during these episodes too along with left-sided weakness. All summer I organized the Conquer Chiari Walk Across America while helping to take care of my in laws after a major cardiac issue. I was just putting one foot in front of the other and it was very difficult. In Early Sept I started having the burning down my left arm and up my left side of my face that Dr B had warned me about. My local neuro ordered an MRI. The burning started to increase. The only way I could explain it was to compare it to a tooth ache. It was relentless. The walk went on and pretty well considering. I also had to start using my cane due to balance and tremors. This was a very difficult issue for me to deal with. I literally stared at it for two days and cried. Last time, it was temporary and this time I feared that it was forever. Then someone told me to think of it as something that allowed me to do thing and not something that kept me from doing things. This helped. Still, it was hard. I was driving throughout the summer. It was only a short time, that I was able to drive, but it was such nice freedom. I think it was 5 months. The walk went pretty well. I was exhausted and done. The next day I was hospitalized for 3 days. When my neurosurgeon in New York found out what was going on, I was rushed there and told that I needed to have posterior fossa decompression and craniocervical stabilization. We went through all of the pre-surgical paperwork and I was expecting a call within a week. He placed me in a CTO (cervical thoracic) brace. I NEVER heard back for 4 months. I am not sure exactly what happened. I am not sure if the doctor thought the nurse called or vice versa but I never got a call. I was literally on the couch or in the bed again for 4 months in agonizing pain and depression set in. All I could think of was, "death is not the worst thing that could happen to someone". I was so let down. I finally go the nerve up to call the nurse. She was shocked at how sick I still was. Like I magically got better? She set up a phone appointment with the doctor. When he called he told me I did not qualify for the surgery and that I would have to wear the brace for another 6 months. I was so sad. Luckily, in the meantime I had made an appointment with the world renowned Dr Henderson. I went to see him in February. My films that the Institute were basing there info off were not good enough for him. So he ordered new CT's in different angles. I had to return in March. Sure enough, I qualified. I am telling you. I could not stand up without the extreme desire to vomit,headache, and all sorts of other fun things. My neck was dislocating and that is why I was being temporarily paralysed. I let him know of my disappointing experience. I told him that I loved Dr B and that I did not want to talk bad about him. I think it was more of a poor administration and overload of patients than anything. Dr Henderson said that he would do the surgery ASAP. And sure enough, he did. I had the surgeries on May 1, 2012. I was lucky enough to have two of my sisters travel with me. Dondi and Kristi took 10 days out of their busy lives to help comfort and take care of me. I am one lucky girl. It was a very tough surgery. One of my ribs was removed from under my left scapula to help reinforce the titanium rods that lift and stabilize my neck and skull. Then they made an opening in my skull to allow more room for cerebral spinal fluid to flow. My recovery is faster and better than expected but I do have to slow down and remind myself that I am only three weeks post-op. One great thing was that I was able to walk through the airport on the way home. It was amazing. I thought I was going to have to be in a wheelchair. What a wonderful feeling! Now I am home. My sister Traci stayed home from work the first week to take care of me. She had a hard time keeping me down. I just cant help it. They may have to inject me with something. I have had a few days that I have NOT BEEN ABLE to do anything. That is a quick reminder in itself. I have a new brace to wear post-op. It is softer and just a cervical collar. It has to be warn 24 hours a day for 30 days. I think I only have 9 days to go. Then I will only have to wear it in the car for a while. It has been nearly 9 months of wearing a brace. I could have never imagined my life like this. But what do you do when you are in this situation? You just smile and go on with life. I went out for sushi with my friends the other night for the first time. It was so fun. I was told "I was rocking the brace and that if anyone could pull it off, it was me." Well, I will take that. I have to rock it. That is the only choice I have. Or, stay at home and be a hermit. Oh, that is not for me! Look out world, Kelli is on her way back. And, soon, I will be driving so if you life in the East Valley, you may want to watch out. ;) I hope you are all making the best of your life. If you don't like the way your life is going, only you can change that.

Monday, August 29, 2011

Mystery Diagnosis Chiari episode

The Discovery Channel Mystery Diagnosis episode featuring Chiari. Dr B was my surgeon for my tethered cord release.

http://www.chiaritvspecial.com/chiarivideo.html

I had never seen it. It was pretty good and shows how hard the patients have to push to get diagnosed. In this case, it was the mother. She watched her daughter wilting away before finding The Chiari Institute.

Tuesday, August 16, 2011

The day in the life of a Chiarian


First off, I do not want anyone to feel sorry for me. That is the last thing I want. However, I want awareness...True awareness of what we go through on a day to day basis. Usually when people ask me how I am doing, I give that faint smile and say "fine" since they really don't want to know how I really feel. So here is some of what may go on in the my day as a Chiarian:

I wake up with my family almost every morning at 6:30am. Some mornings I can not physically get out of bed but most, I force myself. I do this to have some sort of normalcy. My body is already a 7/10 on a pain scale. As I move, it gets a little better. The pain is in my neck, major joints, headache, nausea, feet, and hands. I find great pride in making coffee for my husband and lunch for my 8 year old. Hey, it may be the only thing I get done all day. I get to see my husband off to work, make sure Weston brushes his teeth makes his bed and the usual morning routine. This school year, I actually get to drive him to school in the mornings. Another thing I do every morning is make my bed. For some reason, it feels normal.

Wow, that is a lot of energy used or spoons as the chronically ill call it (http://www.butyoudontlooksick.com/articles/written-by-christine/the-spoon-theory-written-by-christine-miserandino/). I usually lay back down in bed or on the couch for an hour or so. Showering daily is a thing from the past. It is not physically possible. Then I prepare for whatever event I have scheduled for the day. By event I mean, what kind of doctors appointment do I have for today? Could it be my rheumatologist, endocrinologist, neurologist, primary care provider, internist, general surgeon, neuro surgeon, occupational therapist, physical therapist, cognitive therapist, visual therapist, or just the plain ol therapist to deal with all of this?

At first they had me going to so many damn doctors it was like a full time job. I had to say, "STOP! I am tired. And, this is getting expensive." Even at $20-30 co-pays, it was adding up to hundreds of dollars a week. Now, after seven months of therapies, I am down to Occupational therapy for fine motor skills of the hands. When I go out of the house, it is a major event. By the time I get home, I must lay down again. I do take medications, on a daily basis, to help prevent migraines. However, the pain from everything else is still there. I do not take anything else if I have to drive. So, I push through, just like most others with Chiari. It does not mean my pain level is any lower.

On days that I can not get out of bed, I sometimes am unable to lift my head. Other times, I am physically unable to walk. My brain tells my feet to move, and they do not move. It is a VERY scary thing. And other times, I just don't have the energy to move. As a nurse, I heard people complain of "chronic fatigue" and I often wondered if it was a real thing. Guess what? IT IS A REAL THING! And, I had asked my doctors for years about it but never pushed it. I thought they would just think I was "crazy". When I did talk to them they would say things like, "You are a busy working mother" or "You are going to school". But I could never get enough sleep!

When dinner time comes around, I quickly try to throw something together. By this time I am on sensory overload, my head is pounding and my pain is starting to increase. My tremors begin to also escalate. It is difficult for me to stay in the same room as my family due to lights, sounds, and other visual stimuli. So, I usually end up in my room for most of the evening. I hate taking any pain medications due to the way it makes me feel and don't usually do so until bed time. by then I am usually 9-10/10 on a pain scale and extremely nauseated. Many nights I cry myself to sleep. No one wants to live like this. It is so isolating, even from your own family.

Another thing that I have had to endure is cognitive function deficits. I used to calculate medications in the middle of the night. Now I struggle with helping my 3rd grader with his math homework.

These things are REAL and happening to hundreds of thousands of people right hear in the US (And, possibly millions around the world). It is sad that many doctors know nothing about it and some are not willing to learn. It is my goal to educate as many as possible. Many of my friends are in the healthcare field and have listened. For that I am VERY grateful. I get messages and calls from time to time stating this. I also get phone calls and emails from newly diagnosed patients that do not know where to turn or where to go. This give me hope and some purpose. I know that due to my sister and my work that at least 5 people have been diagnosed. That is something to be proud of!

Please join the fight by walking on September 17th. Find a walk near you at ConquerChiari.org or sponser me at
https://www.conquerchiari.org/ccwaa11/kellicarter

Wednesday, July 13, 2011

Woo Hoo--Helmet of Hope/ Conquer Chiari


Below I have copied and pasted some really good news for Chiarians. We will be getting some national coverage on September 10th. Jimmy Johnson will be wearing the Conquer Chiari logo on his helmet and has awarded a $10k grant. Yeah, that much closer to finding a cure!!!!


http://www.jimmiejohnsonfoundation.org/News/News-Archives/Two-New-Charities-Added-to-Helmet-of-Hope.aspx

Two New Charities Added to Jimmie's Helmet of Hope
7/01/2011
CONCORD, N.C. (July 1, 2011) – The Family Crisis Resource Center of Cumberland, Md. and Conquer Chiari are the most recent charities added to the 2011 Helmet of Hope, which Johnson will wear in the NASCAR Sprint Cup Series event at Richmond International Raceway in September.

Each organization will also receive a grant of $10,000.

Steve Richards of Performance Racing Network nominated The Family Crisis Resource Center of Cumberland, Md., the only program in Allegany County, Md. that provides comprehensive services to victims of domestic violence and sex crimes.

“The Family Crisis Resource Center in my hometown of Cumberland, Md. provides a safe haven for women and children of domestic violence. They can stay there, receive counseling, support to get through the legal system, and then are set up in an apartment/house when they're ready to leave the Center. My Mom has volunteered in various capacities with the group which has helped countless families in the Western Maryland area since 1978,” explained Richards on his nomination form.

Julie Carter of Billings, Mont. nominated Conquer Chiari, which is dedicated to improving the experiences and outcomes of Chiari and Syringomyelia patients through accurate information, raising awareness & sponsoring research.

“There are thousands and thousands of Chiari patients all over America,” explained Carter. “Most people have still not even heard of Chiari and have no idea what it is. It is a terrible, excruciatingly painful brain defect that is taking our lives and destroying them. I myself have Chiari along with all three of my daughters. We have had multiple surgeries and unfortunately have more to look forward to.”

“Conquer Chiari has been doing a fantastic job of representing us, educating us and gathering research and researchers together to try to help us,” added Carter.

In its fourth year, the Helmet of Hope program gives fans and media members across the country the opportunity to nominate their charity of choice to be featured on Johnson’s helmet for a select race. Each charity also receives a grant of $10,000. To date, the program has contributed close to $200,000 to 37 different charities.

Johnson will draw one winner from a list of media submissions and one from a list of fan submissions each race weekend through the New Hampshire event in July. The Family Crisis Resource Center of Cumberland, Md. and Conquer Chiari joins 24 Hours of Booty, the Flagler County Education Foundation, Lollipop Theater Network, the Tennessee Chapter of the ALS Association, the Ronald McDonald House of Charlotte and Els for Autism as charities that will be featured on the Helmet of Hope. The American Red Cross, which was placed on the helmet to kick off the event in response to recent tragedies across the nation, and Lowe’s Toolbox for Education, which the Jimmie Johnson Foundation partners with to fund Champions Grants, which are awarded to K-12 public schools in the hometowns where the Johnsons grew up and currently live, will also be featured.

Fans and media members may nominate their charity by visiting www.helmetofhope.org.

For more information about the most recently selected charities, visit www.familycrc.org and www.conquerchiari.org.

Thursday, May 5, 2011

AN ENTIRE YEAR HAS PASSED


A whole year has come and passed since I was hospitalized with a "mystery" illness. The day of the royal wedding was the exact day. It also happened to be my oldest son's 13th birthday (April 29th). I totally forgot that it was the day that marked a year since I had become so ill. I started this blog since I had such a hard time talking (stutter), also so that I could let family know what was going on with my health, and also to help raise awareness in this strange illness. And, there have been over 9,000 hits! That is just AMAZING.

I have had many ups and downs. The tethered cord surgery has brought me some relief from leg weakness, and decreased the frequency of migraines, decreased my stutter, and so on. Best of all, I am released to drive short distances. However, there is no cure for Chiari or Ehlers-Danlos Syndrome. Chiari is a neurological condition so I have relapses and remissions. Everyday is still a struggle in someway or another but I am glad to have some relief. I continue to go to physical therapy, cognitive therapy, and vision therapy every week. It almost feels like a full-time job.

Dondi and I are headed to The Chiari Institute in a couple weeks. We both have imaging and appointments with Dr B, the neurosurgeon. This will be my third trip in a year. It is in Long Island and I have yet to make it into the city for site seeing. Maybe someday.

I would like to take a moment to thank everyone that has helped us in the last year. It is greatly appreciated and did not go unnoticed. I did write a lot of Thank You notes but was not always able to write them for everything that was done for us. Please know that we could not have made the trip to New York without your help! I am so happy we had the opportunity and that the neuro tissue is beginning to heal.

Tonight's episode of Grey's Anatomy had a child being tested for Chiari and when I was in the hospital last year, House had a man with Chiari. Maybe, we are starting to get the word out.

Please help me continue to spread the word by finding a Conquer Chiari Across America 2011 walk near you! Visit ConquerChiari.org to register now. Chiari is painful and debilitating. Help us find a cure and raise awareness!!!!

Tuesday, April 19, 2011

I am officially "disabled"


According to the social security office, I am officially "disabled". This is very much a blessing and I am relieved. However, this is a bitter-sweat pill to swallow. I worked EXTREMELY hard to get through nursing school. Now, I know that it was not normal to have headaches everyday of your life and to have chronic fatigue (or whatever you may call it). So, it was very amazing that I made it through nursing school, working, and raising children and as the nursing student body president.

In October of 2009, I was in a car accident. I did not realize it at the time but that accident changed my life forever! Whiplash and spinal cord damage, would show up later. It was also the trauma that initiated the problems with my Chiari. I immitiatly had problems swallowing, bowel problems, bladder problems (initiating flow and going up to 14 times a day), low back pain, etc. I went to doctors for all of the symptoms and was sent to seperate specialists for each seperate issue. The headaches worsened and increased in frequency.

Then on April 29th 2010, I was hospitalized for fever, headache, sudden onset of stutter, balance problems, and right-sided weakness. I thought I was having a stroke. They did a spinal tap in the ER on an already dehydrated patient. After 2 days and positive Babinski (not a good sign), I asked for a neuro consult. We also asked the nurse to print out the signs and symptoms of Chiari. She did so and I had all of the 47 symptoms except 3. On the third, fourth and fifth day, I ask to be transfered to Barrows. I was told that I was not "acute" enough. After 5 days, I was sent home with paperwork on headaches and no hope. After being sent home, I worsened and got the remainder of the symptoms, including not being able to walk unassisted. A month later, I picked up my medical records. Imagine my surprise when I discovered that one of my MRI's showed "low-lying cerebellar tonsils". I was forced to fight an uphill battle with no assistance from the medical community in Arizona. I was told "your mind is a powerful thing" and "you have none of the symptoms". So no one would treat my pain. It was a VERY dark and painful time.

I took my medical records and mailed them to The Chiari Institute. Thank goodness I had my sister, who also has Chiari, to help me with the paperwork and to direct me. I was accepted and was able to get diagnosed and have surgery. It seemed like an eternity but was a much shorter time then most people wait. Even when I returened to my primary care physician with diagnosis of tethered cord, ehlers-danlos syndrome, and Chiari, he still treated me awful. I think he may have just been overwhelmed by me. I finally was able to get a new primary care provider. She is wonderful and works with me. What a world of difference a provider can make!

In November of 2010 I had my tethered cord released and am doing much better. However, there is no cure for Chiari. There are only surgeries for symptom control at this time. So far, there are four members of my family affected by the surrounding illnesses of Chiari. It is debilitating and painful. I am glad that I was approved the first time for disability and I did not have to get an attorney. My family feels very blessed. Thanks to everyone that has been so supportive!